Provider Demographics
NPI:1871906198
Name:MAHIDA, SONAL (MGC, CGC)
Entity type:Individual
Prefix:
First Name:SONAL
Middle Name:
Last Name:MAHIDA
Suffix:
Gender:F
Credentials:MGC, CGC
Other - Prefix:
Other - First Name:SONAL
Other - Middle Name:
Other - Last Name:DESAI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MGC, CGC
Mailing Address - Street 1:801 N BROADWAY
Mailing Address - Street 2:ROOM 564
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21205-1424
Mailing Address - Country:US
Mailing Address - Phone:443-923-9543
Mailing Address - Fax:
Practice Address - Street 1:801 N BROADWAY
Practice Address - Street 2:ROOM 564
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21205-1424
Practice Address - Country:US
Practice Address - Phone:443-923-9543
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-04
Last Update Date:2018-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS